INMED/TINS special issue
Lighting the chandelier: new vistas for axo-axonic cells

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Chandelier or axo-axonic cells are the most selective of all cortical GABAergic interneurons, because they exclusively contact axon initial segments of cortical glutamatergic neurons. Owing to their privileged location on initial segments, axo-axonic cells have often been assumed to have the ultimate control of pyramidal cell output. Recently, key molecules expressed at the initial-segment synapses have been identified, and novel in vitro and in vivo electrophysiological studies have revealed unexpectedly versatile functional effects exerted by axo-axonic cells on their postsynaptic targets. In addition, there is also emerging recognition of the mechanistic involvement of these unique cells in several neurological diseases, including epilepsy and schizophrenia.

Introduction

In his pioneering studies of neuroanatomy, Santiago Ramon y Cajal identified many major interneuron subtypes, yet never explicitly described the characteristic cartridges of axo-axonic cells (AACs). Chandelier cells, so named by János Szentágothai because these cartridges (vertical rows of axonal terminals) resemble rows of candles on a chandelier (Figure 1a,b), were discovered only 30 years ago 1, 2. Shortly thereafter, in Golgi-stained tissue from rat cortex, it was recognized that chandelier cells are the source of the previously mysterious axo-axonic boutons [3] and are not dendritically projecting, as previously believed. A few years later, the GABAergic, and therefore inhibitory, nature of these cells was verified [4]. This short but distinguished heritage gave rise to a series of recent breakthroughs that underlie the unique nature of these elusive interneurons.

Section snippets

Location and basic properties

Curiously, nearly all AACs are located in layered cortical areas – the neocortex or allocortex 3, 5, 6, 7. However, AAC cartridges have also been found throughout the amygdala, a partly cortical structure that is not laminated [8], and AACs do not exist in the cerebellar cortex, despite its layered nature. Because the home of AACs, the cerebral cortex, is evolutionarily recent, it is perhaps no coincidence that AACs have been identified so far only in mammals, including rats [3], guinea pigs [9]

Identification, please: markers for AACs

As the field of interneuron diversity developed, biochemical markers were discovered as distinguishing characteristics. The first marker found for AACs was the Ca2+-binding protein parvalbumin (PV), expressed in nearly every AAC 5, 20. Unfortunately, PV is not specific to AACs – it is also expressed by some basket cells. AAC cartridges are reliably stained by the high-affinity GABA transporter GAT-1, but identification relies on the presence of characteristic cartridges because GAT-1 labels

Picking partners: postsynaptic targets of AACs

Although other cell types show target specificity, AACs outshine them all with their remarkable precision. In nearly all quantitative studies, regardless of species or brain area, every chandelier cell terminal synapses with the AISs of pyramidal cells, granule cells or mossy cells 3, 7, 10, 14, 16, 28, 29, 30. In the few studies that could not confirm total specificity, the percentage of synapses onto AISs was never <90% 31, 32, 33. It could be important that these AACs with aberrant targets

Sixteen candles: development of a chandelier

Studying development of specific interneuron subtypes is not trivial because identification relies on Ca2+-binding-protein expression and neurite arborization patterns, which often appear relatively late in development. A study in monkeys of AAC cartridges, visualized using Golgi staining, PV-immunoreactivity or GAT-1-immunoreactivity, indicated a biphasic developmental course, increasing from a few stained cartridges at birth to a maximum during adolescence, and then possibly decreasing again

The other side of the synapse: molecular layout of the AIS

The AAC cannot be studied without considering its target the AIS, and the anatomy of the AIS elucidates its function. This axonal structure is precisely defined and exhibits unique structural features on electron micrographs, including microtubule clusters, a membrane undercoating, clusters of ribosomes, and stacks of Ca2+-storing cisternae 40, 41. The neuronal cytoskeleton, consisting of interacting spectrins and actins, forms the neuronal structural scaffold and is a spatial delimiter for

Chandelier cell function: more than simply inhibitory

Recently, great strides have been made in understanding physiological roles of AACs. Neocortical and hippocampal AACs, identified by electron microscopy as shown in Figure 3(a), display fast-spiking characteristics and various degrees of spike frequency accommodation, with the decrement in firing rate varying between 2.5% and 81.0% in response to a 500 ms depolarization 13, 17, 28, 30, 33, 53, 54, 55 (Figure 3b). As expected, firing of AACs evokes inhibitory postsynaptic events in pyramidal

Chandelier cells in disease states

Given the specificity and functional roles of AACs, a disturbance of these cells would be expected to cause major problems for normal function. In fact, changes in AACs have been reported in both epilepsy and schizophrenia. Many studies of both diseases have shown various amounts of decreased PV-immunoreactivity or mRNA expression 64, 65, 66, 67, 68, but this measure is not specific for AACs, nor does it necessarily signal cell death of PV-positive cells. However, some specific changes suggest

Future directions

A wealth of recent information about anatomy and physiology of AACs and the AIS indicates that these associated structures play an important part in cortical network activity. However, more work is needed to understand fully the role of AACs. For example, synaptic innervation of the pyramidal cell AIS needs to be studied using electron microscopy over the course of postnatal development, and in both control and schizophrenic tissues, to verify changes seen in protein expression studies. Given

Acknowledgements

This work was supported by the NIH (grant NS38580 to I.S.).

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